Loading...
HomeMy WebLinkAbout020-1414-10-000 r G O y O m f 3 0 n _ 1 C . 7 N ID 7 ID ( 1 C1 � a � • M co d N 1 3 3 �' N y O O w (D n N CD q O O CT C O N• O 5 < N C N Q F�1 �C11 p m y m y Q a m '� y A m i o R O N d Q O '-� Iv -4 1 0 c x 0 o p fA v 3 7 H 0. � O v G Z y a a I ov Z y o a o co D a o D �' a IW D m � o o D 0 3 0 N e cD CD p CD o = ° o o. o CD c w U) p r o $ c N• 000 Z 000' I c3 N cl ar y y of CA 3 cr O G 0) -- o l a T G O o 0 CD m y N m u o W o m 7 o 7 O - 7 C CD 0 fD j d y O N O (n 'O N = c fD .� c ON 0_ C b CD �, C. o m c �, f D o. CD m a Cl) m 77 m v a m CD v o I ° o D o �' ? m 0 ` = U) CL Z - I N m CD m ` a 0 a Z 3 0 3 o - m m o N Z O y i w m Vl s D N a ° O a d D ma (a o C .�,� fD 7 O (D T o m c a o w c c o ° (a o z o —c Q N y 3 m O CD o 0 ti m 03 N C/) a O N c j 0 a3 z m I ti cr N o a c\ mod o (D y_ 0 F a K m m CD p sa 0 En + c CD o o a, � 0CA0 ° d f = d ° rJ ;(D 0 �� - 0 d C co 3 = y rT 3 w w.r Cn z z N z O co (n O O ,� y -• N N ]c/1 j � (D :' a d N CD m 3 v Co C Q N co ° C) G) m w G) o y Q N CO 3 o. a o m N O o r, z A ? �- m y N a ni p ro O C � z (O (D 0 r (n ° J o Jo Cl) o ca O O O M. CD Z �c c fn fR N (p O D " at m m N A cn 4 o = 3 CA ' 0 N fD d N N D D 0 ro m ~• N �•il A (A tv m N c m o_ CD ID 3 A Z A z F \ ^` CL Z 0o v M w CD z 0 A O ° .. W !^ z O (D A <. m > m m Cl o � a m 3� a ID A p N C N c v > N ro m _ N � o O � < m � m 3 m O I O (D 3 7 O a 3 CD O C o N an o cn L.- o' N � O o 0 m 0 `" :y - If�ifillifllllii111111iilillilllllilllililllilliil * 8 4 8 0 8 2 1 848082 Document Number Document Title KATHLEEN H. WALSH REGISTER OF DEEDS St. Croix County S T.. CROIX CO., WI RECEIVED FOR RECORD Occupancy Afdavit 04/09/2007 03:50PM AFFIDAVIT r E7�ENPi 11 REC FEE: 11,00 Name - (Owner) Typed or printed PAGES: 1 being duly sworn , states, under oath, that: .1. He/she is the owner /part owner of the following parcel of land located in St. ��, Croix County, Wisconsin, recorded in volume 2,2 Page Z 3 S Document Number 7y t Croix County Register of Deeds Office -. Reoondt Area � Name and Return Address A parcel of.land to ed in &h JC Y. of thd�W % 2 d ? S C K Bd e '' Z' e T N - R ', Town of q 0. , St Croix ?'q -7 .yy1,4A -%'„7 County, Wisconsin, being duly descnbed as follows (include lot no. and subdivision/CSM or detailed legal description): . �cT ,r.> > ���K i/ { , � / - Tom �F�� �,.L�>�l{ v . ��D— ty /�� ✓D —aDO Parcd laentirication Number (P1N) As owner of the above described pro I acknowledge that.the -septic csystem serving this residence is sized for a bedroom home, or a design flow of Y SD gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. Ther are currently 3 occupants living in this residence; & occupants are permed based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that if there are intentions to exceed the number of permitted occupants. the system will need lobe modified to acoomodate any increased wastewater #haws and/or contaminant loads.. l also acknowledge. that t wig make . this information available to any future parties interested in purchasing this property.; Oa s j day of r�c. ras Q 7 AuTHENTiewrioN ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ) )SS autlienitcated this day of St. Croix County. ) Petsonatty came before me this 9 day of the aboYe named . TITLE. MEMBER STATE BAR OF WISCONSIN " Of not. 10 me known to be the auUsotiZed b § 706.06, Wis. $tats.) instrument . and adcnowi THts MTRUMENT WAS DRAFTED BY ­ UJ A.. Notary Public.. State of (Signatures may be authenticated or acknowledged. Both are not My Commission is pgrmanent�� g> do �1ate l necessary.) Date: 49 cpaw lk. '60t , �• . . "THIS PAGE IS PART OF THIS LEGAL. DOCUMENT — DO NOT REMOVE" Tula l *mw(bn must be completed by cu ter. dxwYmW gems u& retaim address and PfN (yie9U�SM. 09reridomi0m such as the dames, k%W des *fun, eta maybe placed oa t9trs brat page of the doaxrxW ormay placid on addlonsf pages of the dbcvn*nt use of ims coast• page adds one ~ to your docuraeW SW to Me re QMQ9- fee. .WbGOnsin Stapdes, 59.517: 1 Of 1 ST CROV CO U PLA NNll l G ZO Nll l G April 9, 2007 Rick Breezee 747 Martin Avenue Hudson, WI 54016 RE: Remodeling /bedroom addition, Town of Hudson, St. Croix County Code Administration Lot 15 The Glen Subdivision 715- 386 -4680 Parcel # 020 - 1414 -10 -000 - Computer #20.29.19.2609 Land Information & Dear Mr. Breezee: Planning 715- 386 -4674 You have requested the Zoning Office review your remodeling /addition project for Real Property compliance with the state sanitary code (COMM 83). When remodeling or adding 715- 386 -4677 onto a dwelling, you are required to examine whether or not the planned modifications involve an increase in design wastewater flows to the Private On -site Wastewater Recycling 715 -386 -4675 Treatment System ( POWTS). I have reviewed your remodeling plans for the above residence. The project involves finishing two additional bedroom in the lower level of the structure. The existing POWTS was designed and installed based on wastewater flow for three (3) bedrooms with a maximum occupancy of six (6) persons. This project will increase the total number of bedrooms to five (5). Technically the POWTS will be undersized for the number of finished bedrooms within the residence; however, current occupancy does not exceed the design wastewater flow for the POWTS. An Occupancy Affidavit is required to disclose the disparity between number of bedrooms and septic system sizing to any future owner(s) of the residence. An affidavit has been submitted to the St. Croix County Register of Deeds office for recording against the deed prior to issuance of a building permit from the Town of Hudson. Doc 44 l ayf O FZ The original system was installed in October 2004 by Boldt Plumbing and was inspected by zoning staff. The system was found to be code compliant at the time of installation. Inspection report and sanitary permit documents are on file with the zoning department. To prolong the POWTS lifespan, the septic tank should be pumped at least once every three years or when the tank becomes 1/3 full of sludge and scum. The effluent filter on POWTS installed after April 2000 should be backwashed as needed to prevent clogging of the septic tank outlet. In addition, water conservation measures are recommended, such as repair /replacement of leaking plumbing fixtures, reducing shower time, running the dishwasher only when full, avoid using a garbage disposal, using a wash machine with a suds -saver feature, etc. The long -term function of your POWTS is dependent upon proper maintenance of the system. ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD. HUDSON, W1 54016 715- 386 -4686 FAx If this POWTS should fail at any time in the future, the system will be need to be inspected by a licensed plumber or POWTS maintainer to determine if it requires replacement according to state code requirements in effect at that time. The proposed remodeling and room addition project must comply with all applicable building codes. Please contact the Building Inspector for the Town of Hudson to obtain a building permit. Should you have any questions, please contact this office. Sincere[ Pamela Quinn Zoning Specialist Cc: Brian Wert, Building Inspector - 4;x.2 g ale Hudson, POWTS Installer ile ST CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD. HUDSON. WI 54016 715- 386 -4686 FAX Page 1 of 1 r Pam Quinn From: Pam Quinn Sent: Monday, April 09, 2007 2:02 PM To: 'Breezee, Rick' Subject: RE: Question You have the right person /dept. for your question. According to our records, your septic system is designed for a 3 bedroom house. If you want to finish more bedrooms, you need to complete an Affidavit of Occupancy and record it on your deed, which documents that the system will allow up to 6 person occupancy (2 people /bedroom). That provides a disclosure to potential buyers, regardless of how many bedrooms are in the house. The Town of Hudson building inspector, Brian Wert, will probably want a letter from us regarding the changes. We ask that owners stop by the Zoning office with the house plan and we can provide a copy of the affidavit form for you to complete and drop off at Register of Deeds for recording. At some point, when the system requires replacement, the system will have to be sized for the extra bedrooms. Please call and let us know when you are coming in so either I or another POWTS staff can give you assistance. Isn't remodeling fun ? ?: -) Pamela Quinn, Zoning Specialist ( POWTS) St. Croix County Planning & Zoning Dept. 1101 Carmichael Road Hudson, WI pamq�co.sant- cr wi. us From: Breezee, Rick [mailto:RBreezee @mspmac.org] Sent: Monday, April 09, 2007 11:22 AM To: Pam Quinn Subject: Question Hi Pam, I don't know if you are the right person to talk to so I apologize if you are not. I live in a three year old home in the town of Hudson and will be finishing off my lower level. In the home is my self, my wife and eight year old son and our family has always been this size. I have planned, for the future, three bedrooms, if we end up selling the home someday. I am checking with the firm that designed and installed the system to see what they planned for and installed. If the system was designed for four bedrooms, can I still finish the basement off having the fifth bedroom or do I need to plan the fifth bedroom as a home office and only have four bedrooms? Thanks Rick 7 1 4/9/2007 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 453224 0 GENERAL INFORMATION ` **(ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Breeze, Rick Hudson Township 020 - 1414 -10 -000 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town /Range /Map No: ft • 0 I CID . o C ST 6u>!�1 Nt- 20.29.19.2609 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 7I Of I CFO , 6 � W6t5 �, Dosing Alt. BM �'�'IZ► • -� om Aeration Bldg. Sewer Holding St/Ht Inlet D, q:; TANK SETBACK INFORMATION SUHt outlet �•if, TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / t Dt Bottom Dosing t � i Header /Man. Aeration Dist. Pipe Holding Bot. S stem tZ• 1B Final Grade PUMP /SIPHON INFORMATION Manufacturer and St Co r GP �,fl o2•I Model Numb 7W L 6 � "--� L l TDH Lift rict[on Loss System Head TDH Ft Force6ain Length Dia. SOIL AB ORPTION SYSTE Z, 7INFORMATION idth ( D Length f No. O Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth . y Z\ SYSTEM TO � P/L BLDG WELL LAKE /STREAM LEACHING Man cture� CHAMBER OR Type Of System: i �, 8 G�/ UNIT Model Number. 11 .J .(} DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pip s) �S i Length Dia 1 1-en pacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded j xx Mulched Bed/Trench Center SedTTrench Edges Topsoil — Yes No i Yes No �O�M NTS: In ll ?de co �repencies, rson ree tc. �^ Inspgction# / Ins ection #2: / o&CT V� e� dis , r, s s ►•�� P 2w t70.W. �� t p ca on: 747 Martin Avenue Hudson, WI 54 hit 1/4 SW 1/4 20 T29N R19W) The Gle Lot arcel No: 20.29.19.2609 tftAr Aw 1.) Alt BM Description = s'7' Mw . tJ�aK/ I•p t �'' - {�' - ` - �� 2.) Bldg sewer length = .. IOID amount of cover = 12 "t• S ,,, oSc.A.¢ P n re islon Required? es 2%=59 , II � i �I � � � Use other side for additiona ation. _ J Dat AS d � w �Ca�rt� SBD -6710 (R.3/97) a� • p O ,8 05/17/04 MON 14:55 FAX 715 386 4686 ST CRX CO ZONING Q 002 Safc)y and Buildinos Division County �+ t 201 W. Wa4hiii�,ton Ave., P . l3a 162 _7 f G v^O / X Ar in Visconsi Madison, o 5ve P. Sanitary Permit Number (to be filled in by C •) Department of Commerce (608)26 63 pip z S ani tary Permit A _ State rat Al In accord with Comm 83.2 1, Wis. Adm. Code l �� may be used for secondary purposes Privkcy La � Project Address (if different than mailing address) 1. Application Information - Please Print All Information 1 �/ 1 f lW 'y �j 8 2004 P y Own er's Name Pa # Lo ` Block # 1 , c 4rce r- eel_/ 61- aQ0 ro ny Owner's Mailing Address y ( Property Location c?' /, �� & 01F'6"1 � / ' V., � v., Section Z0 City, State Zip Code r Phhone Number p e /K3 :J b l b .I. N: R2 o V> , 11.'ype of Huildin (check all that apply) • . . Subdiv'sion Name CSM Number s or 2 Family Dwelling - Number of Bedroom 13 Public/CommerCial - Describe Use ❑ St to Owned - Describe Use �% C� r. W l ❑City ❑village ovmship Of Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) New System 11 Replacement System 11 TreatlnenUHolding Tank Replacement Only ❑Other Modification to L'xieting $ystctn List Previous Peftltit Number and Dnte Issued B. ❑ Permit Renewal 11 Permit Revision Chi mge of ermit Transfer 10 New Before Expiration Plumber Owner -q-3 0 5 6 f 11" ZC - 0 IV. lyp of PO'WTS System: Check all that apply) 'r ✓ M l � on In- Ground I] Mottod? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructeed Wetland ❑ Pressurized In-' and © Holding Tank ❑ Peal filter C] Acrobic Trtaument kInit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter a 1 ❑ Drip i.inc ElGravel-lesSNO ❑ 0th in V. Dis ersal/Preatmctt Area Information: ZZ Cy a /yl S — 1A' Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal A Required (sf) Dispersal Arcs Proposed (0) System Elevation 7 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New tbdsting yanks Tanks Sctsir; or Folding Tank oet C �- AcrobieTrcatmcnt Lltit !A Dosing Chamber f V VII. Responsibility Statement- 1, the undersigned, assume responsibility for 1 Nation of the POWTS shown on the ettachexl pion. Plumber's Narnc (Print) _ f Pl Sig+tatur MP/MPRS Number Business Phone Number rry Q Plumber's Address (Street. City, State, zip Code) r O-Z o fig.' �.. E6 � ��: _MZ1 Vill. County/Department Use Onl Approved Disapproved Sanitary Permit Fee (includes Groundwater Die test d uing Agent ippaturc ( pt) Surcharge FeC) ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval T Septic tank, effluent filter and r' dispersal cell must all be serviced / maintained �. v 7 as per management plan provided by plumber. bGf h'L!> ; d 'Z 2. All setback requirements must be maintained s o� as era lice �%(lLf,a�, ` ` ` ` Attach complete plans (lo the County only) for the system on paper not lea Ihan 812 111 inches is AN SBD -6398 (K. 01/03) o d f 0 09* 3 c m C �1 3 y Q! p Z+ I ... Z m o W o 'm' ° y 0 m a iv 4 ►� a0 Fo cn� amrfDi I m 0 � y m ° I � a N N V N N H V V �O e d A o a U) z to D N c. cn D C o C ` a W D; CL N CD CD z CL M M M c CA CA cn C C I3 ch C4 CA (3 v, m 3 0' v v rn l O Iv v N I� A w N ? N w N I - O I g 3 d 3 d I m C M M I � I I = N O : m O 0 7 O 7 > 7 O b ? O I 7 CD N A m N. I d a d a N i I = � to c y c i ri CL "t CL �? 3 i I M `> �o o i z ° o ° o c C CD W W � ? I I 0 ! -0-0OnD m a° o v a I ° vg :3 ° m v m m ° I a m'_ c o O -� z a ° f v z a I N * y Q y m ° 0 0 y 53 y c fi g a c I 0 oo ay 0 I m o CD � 7 � A y N � o I m ° ti 18 I °P 8 Ah I o I o 'b CD m j o 0 j o0 c v °° t °° i � rn0r O Z n C ov z r Z� rn 0 oo 1 .. rn x Cl) � • �� -n =i 4 m m r V O Z ?O 55 Cl) 2 CO) C m rn P11 n � M O p c bo Z �o Cl) Z rn O Z c 0 M r v — � z - � z x C7 rn � n CO) C �# �r _ � Z v �° X z rn — 70 Z o C p m r �— O m -� _ < -1 z 0 0 � v rn Z O m< M c C T: m o (/) /07M zu N i ° TI •z o ;O N c> » -4 21 -4 ° Z Oe �o o 5�im �� ov • e Cl) ou G) X • ° g+ !s'• of ° �_ �' d � �� c v N r� a i x 3 n $ a� y O N� Q�m m 1 0 r d g pr p Z > ST CROIX COUNTY SEPTIC TANK MAINTEIIAN CE AGREEMENT - OWNERSHIP CERT7ViCATION FORM Owner/Buyer rye z e , e mailing ddress vim%'/ st n Tr g �Q pss �c I �C; Property Address 7Y 7 1" le d` ' � Ave, (Verification required from Planning Department for new construction) City/State tL- Parcel Identification Number a a - q 1 — /1), 000 LEGAL DESCRZPTXON /t�� � Stt� � `' h ZOO � ,, rr d 5 , 0 Property Location /4, /, See. . T � N - R I q W, Town of /11 , r--" Subdivision G*' /G° n Lot # �� Certified Survey Map # Volume , Page # Warranty Deed # �`�'J � t Volume Page # Z Spec ;louse ❑ yes ff no Lot lines identi.Sable [�' es ❑. no Impropci: -Y SYSTEM�'►�AINTENAI�ICE - use and maid==ocof your septic system could result in its failure to handle wastes. Proper mainbcaaneo Consists of pattspiig out the septic tank every throe ytans or soarer, if acadcd by ti lirctnsod pumper. What you pat into the system cm affixtthe f=ccioa of the septic tank a treatment stage mthe vzte - system. property owner agrees to tes<tsatunit -to St Crone Zoakg D i,cmffwafion form, sigwd by dw vwuci: and - by a P "] ymaaplumber, ictodplumberor i pwCasodpamperreaif.&g that (I) the oa-sR6 wastearaterdisposal system in pc' is opa operating condition andlor (2) after ikon and pumping - (if noocssary), the septic.twk 1«s dean W - 4M of sludge.. � the m dcmig ou have read die above requirements aid agree to mainuin tfie private sewage disposal system with the standards set forth, herein, as set by tic Dcpattmcat of Come aid the Dcpartmcat of Natural Resources. State of Wisconsin_- Certification sutiAg that YOm septic system has becat maintamod mast be completed and teWmed to the St Croix County Zo ning Office widdn 30 days -of the three year expiration date TUBE ft�CANT DATE /18/0 - f OWNER CERT TCATXON I we that all ( ) �fy statcmcuts on this form are tune to the best of m our knowle s Y (our) cdg . I ( we) am (are) the owner( ) of the PrOPeOY described above, by virtue of a warranty deed reoordcd in Register of Deeds Office. "; A G V PLICANT DATE « « « « «« An information that is mis ed ma result in the sans « « « « «« -ceptescnt Y Lary permit being revoked by the Zoning Department «« Include with this application: a stampod warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 1 U 2 4 6 2 P 2 3 5 747457 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. W ALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between West Lake Builders, Inc.. Grantor, 11/25/2003 09:45AM and Rick L Breeze and Bonnie L. Breeze, husband and wife WARRANTY DEED Grantee. EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: 401.70 (if more space is needed, please attach addendum): COPY FEE: Lot 15, Block 1, Plat of The Glen in the Town of Hudson, St. Croix CC FEE: PAGES: 1 County, Wisconsin. Recording Area Name and Return Address V O 20 - I L11 1 4 - t o - o00 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. h Dated this = day of November ' 2003 * * West Lake Builders, Inc., * AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ STATE OF U n ) ) ss. . C R01 County ) authenticated this day of Personally came before me this 1 q T _ day of November 2003 the above named tt�tttttttll� West Lake Builders, Inc., TITLE: MEMBER STATE BAR OF WISCON P P s e tts ���� (If not, �`� ' , y to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Slats.) `- iistrument and acknowledged the same. THIS INSTRUMENT WAS DRAM • BYA '& 2 — ` Y1 Attorney Kristina Ogland /'•' vB - G �. , , P Hudson, WI 54016 '��„ �„ ' • • _ , Public, State of (j.) I /) My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not * Names of persons signing in any capacity must be typed or printed below their signature, Information Professionals Co.. Fond du Lac, WI STATE BAR OF WISCONSIN 800- 655 -2021 WARRANTY DEED FORM No. 2 -1999 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of v FILE INFORMATION SYSTEM SPECIFICATIONS Owner ��" Septic Tank Capacity QQGt al ❑ NA Permit Septic Tank Manufacturer �' r -Te ❑ NA Effluent Filter Manufacturer 6 ❑ NA DESIGN PARAMETERS ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model r Q old al ❑ NA Number of Public Facility Units A Pump Tank Capacity Q Estimated flow (average) alida Pump Tank Manufacturer 3^e ❑ NA Design flow (peak), (Estimated x 1.5) 3Q g al/day Pump Manufacturer �aA OV ❑ NA Soil Application Rata al /da /ft 2 Pump Model ❑ NA X NA Standard influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOGI 530 mg /L ❑ Sand /Gravel l=itter ❑ Peat Filter Biochemical Oxygen Demand 11300 5220 ma /L O NA © Mechanical Aeration ❑ Wetland Total Suspended Solids (TSSI 5150 mg /L D Disinfection ❑ Other: Monthly average Dispersal Ceg1s) ❑ NA Pretreated Effluent duality Y Biochemical Oxygen Demand 18013 530 mg /L PQn- Ground (gravity) ❑ in- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 51W cfu /100mi ❑ Drip - Line ❑ Other: Maximum Effluent Particle Size Y in dia. Cl NA Other. ❑ NA Other: (3 NA Other' ❑ NA Other: ❑ NA "values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency monthls) (Maximum 3 years) ❑ NA Inspect condition of tankis) At least once every: earls) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA month(s) (Maximum 3 years) n NA Inspect dispersal cells) At least once every: 3 y ear(s) month(s) ❑ NA Clean effluent filter At least once every: earls) ❑ month(s) P44A Inspect pump, pump controls & alarm At least once every: ear(s) ❑ month(al NMA Flush laterals and pressure test At least once every: ❑ year(s) ❑ montb(s) IWNA Other: At least once every: ______ O year(s) A Other: MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface, The dispersal cell(s) shall be visually Inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized Components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. r Page of START UP AND OPERATION ' For new construction, prior to use of the POWTS check treatment tank(p) for the presence of painting products or other chemicals that may Impede the treatment process and /or damage the dis4orsa( cloli(s). If 1 i0 conrentratiohs are detected hays the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(si in one large dose, overloading the collie) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levels within the pump tank, I , Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or , must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. f=ailure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. Al � ❑ s't d site e tank ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING> > SEPTIC, PUMP AND OTHER C P R TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT E ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Phone 7 / E-7 Phone SEPTAGE S YICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name -5 C_eo /)( Cj%LA,_y '�8s�illf Phone Phone S- 3%, L f�� This document was drafted in compliance with chapter Comm 83.220(b)(1)(d) &if) and 83.54(1). (2) & (3), Wisconsin Administrative Code. -� 1164 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, W is. Adm. Code Steel Sal Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Crob( include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. pending Please print all information. g Date Personal iniormatim you provide may be used for second .15.04 ) (m)). i — 7 63 Property Owner P Location Sienna Corporation ovt. - t NE 1/4 SW 1/4 S 20 T 29 N R 19 W Property owner's Mailing Address c `,� j 2 Lot # Block # Subd. Name or CSM# 4940 Viking Dr, Suite 608 15 na The Glen City State Zip C Pha"Wnbe' Village je Town Nearest Road hcxe'✓!�t MN 55435 y2- Hudson Carmichael Rd. New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Pitted outwash Flood plain elevation, if applicable na General eomffients and recommendat' :System elevation 95.74ft, trenches spaced and depth to code 5.16ft below grade Fq Being # Boring Pit Ground Surface elev. 100.90 ft. Depth to limiting factor 100 in, Sod Applieation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *Eff#1 I *Eff#2 1 0 -11 10yr3/3 none sit 2msbk mfr es 2f .5 .8 2 11 -23 10yr4/4 none sicl 2msbk 7 mfr gw na .4 _6 3 23 -32 7.5yr4M none Is US vAl y 0 , - mvfr cs nor 35 .9 4 C32-100 7.5yr4/6 none ms osg ml na na ( 7 1.2 S Cov1d 6e ever- SitGlsw�er�� Boring # Boring Pit Ground Surface elev. 100.90 ft. Depth to limiting factor 100 in. SoW Apptwatm Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sit 2msbk mfr cs 2f _5 .8 I 2 10 -16 10yr4/4 none sicl 2msbk mfr gw na _4 .6 3 16 -26 10yr414 none scl 2msbk mfr cs na .4 .6 4 26-56 7.5yr4/4 none cos osg mvfr cs na 7 1.6 5 56-100 7.5yr416 none ms osg ml na na 6 1.2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD s mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/16/2002 715 - 246 - 5085 Sienna C p ending P 2 of 3 - Property Ov✓ner, � Parcel ID # Pe 9 age 3] Boring # Boring Pit Ground Surface el-r. 99.40 ft. Depth to limiting factor 100 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ftz 'Eff#1 'Eff#2 1 0-16 10yr3/3 none Sill 2msbk mfr cs 2f .5 .8 2 16 -37 10yr414 none sicl 2msbk mfr gw na .4 .6 3 37 -50 10yr4/4 none scl 2msbk mfr cs na .4 .6 4 50 -100 7.5yr4/6 none ms osg ml na na .7 1.2 Boring # F Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sof Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 'Eff#2 F Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' *Etf#1 *Eff#2 I * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or • Page 3 of 3 STEEL'S SOIL SERVICE David I Steel 1564 Cty Rd GG CST- POWTSM Sienna Corporation New Richmond, WI 54017 Lic. # 248956 NE1 /4,SW1 /4,S 20,T29 (715) 246 -6200 Town of Hudson, St. Croix Co. (715) 246 -5085 The Glen lot # 15 AI This soil evaluation was conducted to satisfy a zoning requirement, it or may not be suitable for your use. The location of the test may or may not be as shown as perman nt lot lines were not established at the time -the soil test was conducted. F0 23' 7aP a 'F / °Gill S , /ao.Soff 63 y a f f CX2 0 � Z-- 3 �. SEPTIC TANK E PUMP CHAMB — R C ROSS SECTION AND SPECIFICATIONS 4" CI'ViNT PIPE 12 " IMTN. ABOVE GRADE "E WEATHERPROOF >_ 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CO VER CONDUIT MANHOLE R W/ PADLOCK & FINISHED GRADE WARNING LABEL 4 " C l RISER --- ---- -- _},� ,,,_ 4 " MIN . 18 ri VI N . 6" MAX. ' NLET �i WATER TIGHT SEALS GAS- ' TIGHT ,� \ � RT �/APPROYED A SEAL JOINTS WITH PPROVED —�-- + ALM APPROVED PIPE IP 3' ... ON 3 ONTO , NTO SOLID C OIL PUMP OFF ELEV . FT. OFF SOLID SOIL —�--- Psi RISER EXIT - --- -° PERMITTED ONLY D IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED_ BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER : e NUMBER DOSES PER JAY : TANK SIZES SEPTIC GAL. DOSE VOLUME INCLUDING GAL. DOSE g S� GAL. � ALARM MANUFACTURER: -� _ _t���a.+rs� CAPACITIES: A = � .. INCHES GAL. MODEL NUMBER: g s. v 2 INCHES = GAL. SWITCH TYPE: a PUMP MANUFACTURER: G dCti � ^�. C = 8 INCHES = MODEL NUMBER : D = INCHES = GAL . SWITCH TYPE: REQUIRED DISCHARGE RATE GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . . FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . 4MM FEET FEET + FEET FORCEMAiN X / 100 F T.OTAL I DYNAMIC A HEAD �_� s FEET INTERNAL D IM ENSIONS OF PUMP TANK: LENGTH ; WIDTH; DIAMETER LIQUID ' D " lC / r / " SIGNED: 1� --mod LICENSE I,'UMBER: 0?�79#4 DATE: -- 1/88 Safety and Buildings Division - -� County T~ Box 2�i V1. Washington Ave., P.O. 7162 Visconsin Madi n, Sanitary Permit Number (to be filled in by Co.) De art of Commerce ^ � 0 -} E Sanitary Permit Appli t 1 $ 203 State Planl.D. Number In accord with Comm 83.21. Wis. Adm. Code, personal in rtnation you provide may be used for secondary purposes Privacy Law, 15.0 ( �.q IX COUNTY Project Address ( different than m Pro Addif a address) �. l,i7Oilin g ~ I. Application Inm foration - Please Print Ali Information � Ave -- pe MM Prorty Owner's Na rrse Parcel \l Lot M Block X praperty Owner's M ailing Address operty Locarion _ State = ---� Zip Code _ Phone Numbrr 'k �Gr! t4,Section �D I _ /no=r' _ i t s�Y,� ✓� 3� _ 8 4� (circle ) Ili Type of Bullding tcheck ail that apply) T N; RAE o �dJ t� tea t {1 j or 2 Family Dwelling - Number of Bedrooms S - Subdivision Naire CSM Number -) Public /Commercial -Describe Use C State Owned - Describe Use _ 3 X �OQ• } �� �' ❑City�❑village�ownship of� III. Type of Permit: (Check only one bo on line A. Co mplete line B if plicabie) p _ gyp - OW � � O A -- _ 1 hew System ❑ Replacement Syste 1 0 TreatmenNHolding nk Replacement Only ` C Other Modification to Bxisti m i B. ❑ Permit Renewal ❑ Permit Revision i Change of ❑ Perm >i Transfer to New �47 viou Issued i Before Expiration p tuber Owner 11N%_ o P stein. ( C_h eck all that apply) I / XNun - Pressurized In- Ground Q Mound 7 24 in. of suitable I Mound < 24 in. of suitable soil ❑ At- Grade ❑Singh Pass Sand Filter f D Constructed Wetland Pressurized In- Ground ❑ Hoidtr; L� Peat Filter Aerobic Treaunent Unit '� 13 Recirculating Sand Filter L Reeircu 5 nthetic M edia Filter �- - -�_ B �Y ,.Leaching Chamber � D r Line ❑Gravel - less Pi ❑Other (explain) V, Dispersal/T Area Information: Design Flow ( Application -- ) Design -- � "T ". Spd n Soil g Rate(gpds . ispersal . Area wired (sf) Dispersal Area Proposed (sf) ystem Elevat ! VI. Tank Info Capacity in Total 1 'umber Mattu curer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Coragwcted Glass Ncw Existing Tatars Tanks Septic or Holding Tank --- - - ' la �J te,se i 4—i i 1l--V II- Responsibility Statement- I, th undersigned, assume res f it ^ • llation of th POVWT shown on the atta plans. Plumber's Na me (Pratt) (umber's Si gnature P! PRS Number - Business—Phone Number 'A sn s �vQ Plumber's Addre ss (Street, City, S te, Zip Code) ^ ry �VYII. Count /De rtment_ Approved U Disapproved Sanitary Permit Fec (includes Groundwater e Issued Iss Sur >harge Fee) i Dat I d ng ent Signature (No Stamps) f � Owner G iven Reason for D enial � F 1X. Contiitiions of ApprovO$easons for Disapproval -' SYSTEM OWNER: I 1 Septic tank, effluent filter and f dispersal cell must all be serviced / maintai e as per management plan provided by plumber. 2. All setback requirements must be maintained i as per applicable code /ordinances. Attach com ete tans — Pt P (to the County only} far the sys[em oa paper not less than sin a 11 imi'm lit aige SBD -6398 (R. 01/03) iV fin► 2 ���� 9� �l At " 011 - • � 1 % �OUS'� G ��� � r Ci Z � ro 6 - -- •• _� +�MZzb ow WEGERER SGIL TESTING RAGE 0 Gould �E Sub ma�ib' 8 -•► Effluent Pump 3871 EPO4 ~ � J � EP05 Pao ly deni ed forme �f swbm [W in N wlw C 1iron q►ad� tRtt11N OE fOP t uaet: ' Of tlff>nUtQ I'VDIMUM Etlitrant Osi mt dry WOW d1Mw to Nd trantt�. Mid d • • Nvrnet CompOnlnLs. M U& ClMM. TIW OPiat• ' F MM IVtotat: AtraIbbb wr WAO@ alk tad � =0 oft Irl ro Nkle • H" duty sump • EMO S k pt� 0.4 HP, Moll o�MN. �1MO1tlo Nd Ow oft athn»nt ' w2w t wstr 116 a2Sd Y, 80 it I S$0 . ""M . • t4wari N nd A , bukt (n owrbw with Float $w*k M"W $" ■ prM W#.. Seams Autwnafle rot, P"" d IM be". rod of am rimer naitknt. lNQAI7 • EPOa; Bin It Ph410: O.S fdP, � llitlflf if9d iOwPr ft" 116 V. RHL 1550 RpM, "ATUFS1 heaW duty bt etar(tp bulk IR Overload with MON • gouda A+ ffomafJc not p 8pl��pat 4• rt • Pfhw fiord. l0 tCOt C rdnuj: uv to sb GPM, , 1d�9 SJ we punp out 1�fef! br � 8 • tofu Midi: up to 24 fast. wf1h thria PO grafting mechfar" aaM p w M= �1wMrb�on- Plug. OPdontt 20 foot 11 1 itor: Tht rrro. °n • . t6+� &M with AU%� daIgn for (CSA Mw modN nurnbera BUNA* � �on undfng Plug frnQrared pMfbrnpnca, and In "F" pr PAC-) • T EPOS). ■ Cat Ala &W RvgW ;� �� COntlnI C S� O� do* Weft imp and * 3a CdnaO�DR f�tt1P1�- MITM MT • cwbk of ruR dry wV*A damage to e �. so i Pun*: EP" t IV Qqaw�r WrtoeOGPM. t T OM � pe �to31w s + seek oer0orw i tt } dubmm 4 ��' s to �d0'C1 t s a • o a t eo tUPY fc {�nvC OF z "2r ci 15, . c w \ Ci so f'fq �. N a ?: - fin a UJ 1! m p i i •� �n « z CP n 4 � co U) o N �• o 9 Z Q - n r C. w S co Z3 cQ C - -- � gy 7S n X r c ELF a - n r M co X �•� 5 n _ ¢1 CL cr C a � cr, Q ` ; :; a �. CL A CO O 5 ra N F Q f tl1 M N CD {p h Q CA Q W C, ~ ' N O i co (D ( Invert 11' ----�� H ! 14:23 �tytv►� Lt It�f Y.,WV "CS rjgg�MBNT S2 MC T�►NK, , AND &indX r4Ai pORNi C3V�tI18R8� C� o oclSu 9 Pa @s�-rr r+IAMUC Address I r PwPatY Addres6 mt for wev► cnsuwttot ) (ypd ooa te�gnb�d f=om P1 6 pop ° M - 2Z,09) Cityo,jtc D»� O � L� � Paroel Ydeatification Number d o �.FiGAL �+�tTPTIO:�T f � q � j W VA Sec. Z T _ PMPCV V., � I�I -- W I Town of Subdivisioa TNT' j Lo Volume ,,.�_ ---- - . pssa � C� survey Map # t 3 _ DAD ,, Volga --,•.= psga # 'warran I)tad ty # ,_ �o �D --�-- Lot linm identifiable �d y es 'L7 ao SPw, hCusG 0 y cs C3 no _ �7 1�C �, rtAl�CE coatd twat in its prewme f 1we � 3iaadLew�s�" bv� tbe+ � v trae thy ear °t aso°°ec' if n`.eded by a Pte- t Yett ptn the a of t'be sep�e �mlc ac a = �s%a m *r +�reste d�poal *0 ow�a ad �Y a t t< a sifift iaa focal. � 'lira prapetty o�woet apMs to wbMIt to Sc. Z fat (1� tba ata ,dte stoe++t� m * * of itl Mu tgrpl=bK JOM Y'aplumbat t odp ad p �'(� ), 64 septic aide is too is is prop's ogersb S Cesar, ww (2) Alter a�tee to Main a to private aetwt� � Cep 'ontt Y/we,, die under have teed the abaw � to of WavZod Rmaue� t)f5� wit is 3o fret (am, brain. are Set by the DVUtte�t of Co b, � p � t tba St Croix CosmtY 7,40 p 9*9 intAAU spa° tryseem dates � 1 i d; � DATE tiC X ) th eetfify d at sAU tits o this facet rte ttu� e best of ray (atrr) 'MGW'edta. i (tie) am (asn} the camel °f dace abov a wunity decd reco:dad in Lbgisw or Deeds DATB • +w +•w Any ii armstion is Mis.rsprssCUted may result in the suzd"O pis t being sevoknd by dos 7.0ing D o P erem " t ' •• jpelude writb this •ppii*- rttott: a shod wsmaty d� f m 6c R&SWec Of D� o� • copy of the ccrtLSCd CUZVCY "+p if td WA is atad0 IA tltc v VO=ty died TOTHL P.82 y t � I f # i � ! I t # B LOM 1 1 -. _ -- ... --............. waver �rro # - -- •--------- •---- - - - - -- t •- •-- •-- •;;••'`�',„"- - -------------- um sl� y \ g O t i 60 s ,r � S. •.1 , �V� V- -- 1l it y-I \ 4 -6. 208 39 — — 1 .... ti V/` l. ,O ,.^ �. '.t ^•..t^ t: Z-3' \' ♦tt ♦t .,: ' ; .; \ ' n �•.: .� e ��.,;:.;.. \ 1 .. - - - s29L„ ,1.7L i " 'I `''!� tt ` - r •.� �� t .. ♦ ,1 , t `` a 31 tt 29 I! :12 _ t♦ 41.3 II - II cN t l l i 26 I I 271 - N �- I III I .•� It }. , � f ... Looato0 �. NortMyMl a �. N/,61..,1 THE GLEN. �. owt aor ot «' auwl: �I in. soua �ql: a saMllnln. awcv aO N Qlr+v a ae s./aw.1 aY.l.. ti a. Nyb qa w.n a u. Y SirwY IMP low ti Vtlwn4 12, � j I ' tlal prBT Pa+P� 3302. + ti Soellon 20. Tows " Not _" is W.0, T " * ,T C pwt of Lot I of L — — — sl9SY16'E N 7T x 28 ( ------- - - - - -- -----m------------- "507 sr, r - -- ------- - - - - -- ---- -- - -- SEE SHEET 8 ° (1.06e Ac.)I 1 I ----------------- ( i 1 14� - i 57526 S.F. gg 1 (1.530 AC.) tl I I I 1 1 I I o 0 50 too I I 1 I I ^ Sod6 i' . SO' I I R I L - -- ------ - - - - -- 5893819_E 41&W I ------------- ---------- - - - - -- — APPROT011ATE �o — 1 p - - -'� - - - - - E LO -- .--------- - - - - -� l00 ELEVATIONS RErT]EI TOP /N/T HYORANt AT i 3175 FAST OF BURL OM I wee C T � - -- - TOP stEa - -- I I 597M LF. f.• S64'WO6'w 130.1r ELEVATION 1 S I i (1.372 AQ) & I I �I BLOCK 1 I I 1 1 ( I - -- - - — H55,5_,5_F ------------ - - - - -- g I 1 - -- - - - - -- No owEUNc 1 I ------ - - - - - -- BOOR ELEVAt1ON5 1 -- - - - - -- -- - - -- — — — — — snow 5x7.0 1 I i I I 19 1 R 1 - - - -- - - --� I I 46043 S.F. 1 n 1 I 1 16 (1.037 AC.) I N 1 -- - -- - - -- 52030 S.F. 1 a 1 I 1 (1.194 AC.) \ ( z 1 20 h ° S.F. I I I ��'�� \ \ \ \ \y I li Ar So- 1 I - --' _'— , ,\ ,`•` I \\ \ 51554 S.F. NA (1.164 AC.) \ \ \ V \ 55146 S.F. ``�' `'( �;•. / N` _) \\ 1 (1.269 AC.) 1 \\ e 41, \ \\ \ It\` _ a le sat 23 56131 S.F. ON3 (1.269 Ao.) \ -�`" �1:Q =u Y,. 1 53191 S.F. NG EASEMENT ��.y�7ypQl yva 1� 7 e �� • �� S / / / o , (1.217 AC.) '( �'tlGd16BK q g6A I MOOR ELEVATIONS TOP s T PIPE -.'.\ • aT . f '-�( 4►• �" I BE�ow $41.0 EEI 1 2eo.4e• � EtEVAT1pN .657.11 S89 W2rw 508.92' L "\ pORTQLY Ef1fJIL0u OI"� -.,. )/ , r EASTERLY E1tip1510N ANp THE NORTH J NOt'24�3066 1 i _TK 1� i� �' ` ` N89' W 682.86' A " —_�'� PAGE 4 TIEC W WL 197. — \ \ CSM. VOI P r K ♦ it cS..M. C= NORTH LINES OF C.S.M. A /, C' — A A 3. AGE 776 (N69,i1'36'w 1190.95•) I PAGE 3292 12 ' TOP L.V 1 Y VOL. IL PAGE 3292 AND C.S.M. VOL ELEVATION - 646.29 yy q ) A /,r �7Q7 Pam Quinn ' Subject: 453224 - Boldt's Plumbing /Breeze Location: Lot 15, The Glen, Hudson Start: Tue 5/25/2004 1:00 PM End: Tue 5/25/2004 2:00 PM Recurrence: n e) New per it - Change of plumber from Schumak - Dale Hudson is to supply a new plot plan for this site at inspection